HomeMy WebLinkAbout0015449-Building (siding) CITY OF OSHKOSH N9 15449
PERMIT - APPLICATION AND RECORD
TYPE: BLDG iTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS /!S k %r� .=O ( PLAN NO.
OWNER P r2e..s4" ALL ..%1
DESIGNER
USE /NATURE OF WORK �C ■ r X P 4 ;1, 4 [ / f A . „y..o r , P �,1�,t�c — l � fi r ! A , 7
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BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories ( Height
Foundation Class of Const. <5 Occupancy Permit
/7 S ?i e
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ C ange ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation $ /mit - Paid $ 1( ./ ` Park Dedicati n
ISSUED BY Ara _ . .. : i` _� , �_;. w Date 9 f( '
Final /O.P.
In the performance of this ork I agree to • o rm all work pursuant to rules governing the described construction.
SIGNATURE 1.a� Al-d
DATE
_kr
Ai ilar TIOWNER
DATE
ADDRESS Q td t- 26 G -/s
TELEPHONE #